Doctor insights on:
Seema Menon

1

Reaction to Depo:
Can happen, usually due to the carrier the progestin is in, but could also be the progestin itself. Unfortunately, once you get the shot, you are along for the ride. Allergy treatment is about the best you can do, usually using an anti-histamine. A natural approach is quercitin, a natural antihistamine found in the skin of red apples.
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2

INDEED A :
A possibility.
Please be in the care of a rheumatologist. This is not a joke of a diagnosis. You should be tested immediately for scl-70 antibody also called topoisomerase i. If positive two options are possible systemic scleroderma and systemic le.
Do not delay and good luck to you!
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3

See your doctor :
If you are having post menopausal bleeding it is important you see your PCP or Ginecologist to perform a pelvic exam, you may need an ultrasound, and other tests. The bleed may be from hormone imbalance to even a cancer hence why you need to have a full medical evaluation. Hope this helps!
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4

Check your hormons:
You need a complete hormonal evaluation to see how your ovaries functioning and/or responding to stimulation. You also need a Transvaginal Sonogram to see your pelvic organs.
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8

Not necessarily:
First, the definition of menopause is cessation of periods for one year straight without other causes. A single estrogen level doesn't mean anything. Especially in the last 5-7 years before menopause, your estrogen level will fluctuate from day to day and may be in the menopausal range one day and normal premenopausal the next. I don't waste the patients time doing levels.
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9

Possible:
Some of the symptoms are suggestive of Cushings, but there are other possibilities. You need to get yourself to endocrinologist who can do the appropriate testing and give you an accurate diagnosis.
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10

PPP:
I believe the westborough patient means ppp (progressive pigmented purpura). Prp means pityriasis rubra pilaris, a form of psoriasis and not related to purpura.
Ppp is a form of chronic blood stains in the skin (purpura), which darken over time and leave pigmented patches in the skin.
There are four to five types, mostly due to some auto-immune mechanism or related to a medication allergy.
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11

Not uncommon:
I gather you had a "suprapubic catheter" which can leak at the skin level for up to a month as the skin heals around the catheter....After the first month there is a matured track that allows the catheter to be exchanged. For now, just keep the skin clean with soap/h2o and gauze dressing. Your urologist office should be available to help if concerns persist.
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13

Normal:
Your periods occur because of changes in hormones within your system. While a lot of women have a period every month around the same time, there is variation from cycle to cycle. Ie – a period may come on a few days earlier or later and maybe heavier or lighter depending on the endometrium lining. It may come continuously or with intermittent spotting. These are variation of a normal process
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15

Feeling hot:
Good question. Graves usually makes you feel hot all the time, whereas menopause will give you the episodic hot flashes. Are you on medications for graves? What is your free t4? If it is still high, maybe the treatment is not enough, or not working. You are ripe for menopause. A blood lh level should be high is estrogen is down (as in menopause). You may wish to see an endocrinologist.
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18

See a doc :
A 1:80 Ana is barely abnormal but seeing a rheumatologist for an evaluation would be a good idea - the eval would include a history and examination and possibly some more detailed blood testing to see if anything important is going on.
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19

Mirena (levonorgestrel) IUD :
Two things to consider if you can't take estrogen: 1) Ibuprofen every 6 hours when you period is coming. 2) a progestin containing iud will decrease cramping and bleeding.
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